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J Prev Med Public Health > Volume 44(2); 2011 > Article
Journal of Preventive Medicine and Public Health 2011;44(2): 74-83. doi: http://dx.doi.org/10.3961/jpmph.2011.44.2.74
Awareness, Treatment and Control of Hypertension and Related Factors in the Jurisdictional Areas of Primary Health Care Posts in a Rural Community of Korea.
Hyung Min Lee, Yu Mi Kim, Cheol Heon Lee, Jin Ho Shin, Mi Kyung Kim, Bo Youl Choi
1Department of Preventive Medicine, Hanyang University College of Medicine, Seoul, Korea. bychoi@hanyang.ac.kr
2Department of Preventive Medicine, Dong-A University College of Medicine, Busan, Korea.
3Neodin Medical Institute, Seoul, Korea.
4Department of Internal Medicine, Hanyang University College of Medicine, Seoul, Korea.
5Institute for Community Health, Hanyang University, Seoul, Korea.
ABSTRACT
OBJECTIVES: This study aimed to identify and assess the factors related to the awareness, treatment, and control of hypertension based on jurisdictional areas of primary health care posts in a rural community of Korea. METHODS: This study was performed on 4598 adults aged over 30 years in a rural community and we measured their blood pressure (BP) from October. 2007 to August. 2009. Hypertension is defined as a condition characterized by a systolic BP > or =140 mmHg, a diastolic BP > or =90 mmHg or reported treatment with antihypertensive medications. We analyzed the factors related with the prevalence, awareness, treatment and control of hypertension using chi-square test and multivariate logistic regression analysis. RESULTS: The age-adjusted prevalence of hypertension was 34.7%. The age-adjusted rates of hypertension awareness, treatment and control were 50.6%, 93.9% and 64.1%, respectively. Awareness of hypertension was related with increasing age. Higher awareness was found among men who were felt more stress, were obese and had hypercholesterolemia, and among women who were regulary taking medicine for hypertension, were obese and had diabetes mellitus. In women, the hypertension treatment was related a Medical aid and education for hypertension management. Controlled hypertension was more common among men who were educated about the management of hypertension and among women who had hypercholesterolemia. CONCLUSIONS: The awareness of hypertension was low and the control of hypertension was high compared with the nationwide data (KNHANES 2005). The results suggest that understanding the characteristics of hypertension in a community is important to perform a community based hypertension control program.
Key words: Awareness; Control; Hypertension; Prevalence; Rural community; Treatment
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